Individual
DR. STEVEN THOMAS RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Mailing address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
17891
MS
208VP0014X
Interventional Pain Medicine Physician
34251
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02032751
—
MS
05
—
1515129
—
TN
Enumeration date
06/27/2005
Last updated
08/21/2019
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